LEARN PERINEAL MASSAGEIn your last month, practicing this technique once a day for five minutes may stretch out the perineum. Lubricate your index and middle fingers with K-Y jelly and insert them into your vagina. Stretch your fingers apart and slide them along the bottom and up the sides. (It is normal to have some discomfort or burning, but stop if you feel a sharp pain.)

PUSH GENTLY Pant while you push instead of holding your breath and straining. "If you push slowly, you may avoid both an episiotomy and lacerations," says Daniel Schrinsky, M.D., an obstetrician in Portland, OR. "Women who push explosively may be in danger of a major tear."